Healthcare Provider Details

I. General information

NPI: 1558092320
Provider Name (Legal Business Name): JOSUE RENE SANCHEZ SR. DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2022
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB VILLA CAROLINA 3 EXT 55-9 CALLE 50
CAROLINA PR
00985-5535
US

IV. Provider business mailing address

URB VILLA CAROLINA 3EXT STREET 50 BLOCK 55 HOUSE 9
CAROLINA PR
00985-5535
US

V. Phone/Fax

Practice location:
  • Phone: 787-203-4016
  • Fax:
Mailing address:
  • Phone: 787-203-4016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number004618
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: